Prevalence of victims of violence admitted to an emergency department.

OBJECTIVE: To collect data on the consultation frequency and demographic profile of victims of violence attending an emergency department (ED) in Switzerland. METHODS: We undertook screening of all admitted adult patients (>16 years) in the ED of the CHUV, Lausanne, Switzerland, over a 1 month period, using a modified version of the Partner Violence Screen questionnaire. Exclusionary criteria were: life threatening injury (National Advisory Committee on Aeronautics score > or =4), or inability to understand or speak French, to give oral informed consent, or to be questioned without a family member or accompanying person being present. Data were collected on history of physical and/or psychological violence during the previous 12 months, the type of violence experienced by the patient, and if violence was the reason for the current consultation. Sociodemographic data were obtained from the registration documents. RESULTS: The final sample consisted of 1602 patients (participation rate of 77.2%), with a refusal rate of 1.1%. Violence during the past 12 months was reported by 11.4% of patients. Of the total sample, 25% stated that violence was the reason for the current consultation; of these, 95% of patients were confirmed as victims of violence by the ED physicians. Patients reporting violence were more likely to be young and separated from their partner. Men were more likely to be victims of public violence and women more commonly victims of domestic violence. CONCLUSIONS: Based on this monthly prevalence rate, we estimate that over 3000 adults affected by violence consult our ED per annum. This underlines the importance of the problem and the need to address it. Health services organisations should establish measures to improve quality of care for victims. Guidelines and educational programmes for nurses and physicians should be developed in order to enhance providers' skills and basic knowledge of all types of violence, how to recognise and interact appropriately with victims, and where to refer these patients for follow up care in their local networks.

Au coeur de l'Atlas, mission au Maroc, 1904-1905. Préfaces de M. Eugène Étienne,... et du général Lyautey,... Note de géologie et de géographie physique, par M. Louis Gentil...

Comprend : Préface ; Note de géologie et de géographie physique ; Préface

Psychosocial analysis of ETA's violence legitimation discourse

This study analyses the fundamental components shaping the violence legitimation discourse of ETA (Euskadi Ta Askasuna). With this aim, a category system has been built, which organizes the psychosocial processes identified in previous studies related to violence legitimation. Based on the proposed category system, a content analysis was conducted on 21 statements of ETA, released between 1998 and 2011. An intraobserver and inter-observer reliability analysis reveals high level stability and replicability of the categorization. The results show, firstly, that outgroup components have a predominant presence over ingroup components. Secondly, in the components hierarchy, we observe that elements referring to identity come in first place, followed in similar frequencies by those related to violence representation and the definition of the situation.

Psychosocial analysis of ETA"s violence legitimation discourse

Este artículo analiza los componentes fundamentales que configuran el discurso legitimador de la violencia de ETA (Euskadi Ta Askatasuna). Con este objetivo, se construye un sistema de categorías, el cual organiza los procesos psicosociales identificados en investigaciones previas relacionadas con la legitimación de la violencia. A partir del sistema de categorías propuesto, se realiza un análisis de contenido en 21 comunicados de ETA publicados entre 1998 y 2011. El análisis de fiabilidad intraobservador e interobservador muestra una alta estabilidad y replicabilidad de la categorización. Los resultados muestran, en primer lugar, que los componentes exogrupales son predominantes respecto a los endogrupales. Segundo, en la jerarquización, se observa la preminencia de los elementos referidos a la identidad, seguido por frecuencias similares los relacionados con la representación de la violencia y la definición de la situación.

Psychosocial analysis of ETA's violence legitimation discourse

This study analyses the fundamental components shaping the violence legitimation discourse of ETA (Euskadi Ta Askasuna). With this aim, a category system has been built, which organizes the psychosocial processes identified in previous studies related to violence legitimation. Based on the proposed category system, a content analysis was conducted on 21 statements of ETA, released between 1998 and 2011. An intraobserver and inter-observer reliability analysis reveals high level stability and replicability of the categorization. The results show, firstly, that outgroup components have a predominant presence over ingroup components. Secondly, in the components hierarchy, we observe that elements referring to identity come in first place, followed in similar frequencies by those related to violence representation and the definition of the situation.

Fonctions et modes d'expression de la violence à prendre en compte à l'hôpital de jour

A partir du cas clinique d'une adolescente de 15 ans prise en charge à l'hôpital de jour, nous nous proposons d'observer certaines fonctions et modes d'expression d'une violence explosive. Repérée comme " violente " dès sa petite enfance, cette jeune fille a grandi dans un milieu peu contenant qui n'a cessé de reculer devant sa violence et qui n'a opposé que peu de limites à sa toute-puissance. Son admission à 1 'hôpital de jour fait suite à une situation familiale de crise et une recrudescence des passages à l'acte violents sur sa petite soeur. Les déterminants institutionnels ont alors suscité un redéploiement de la violence, avec des circuits complexes d'expression alternant entre l'auto et l'hétéroagressivité. A la fois répétition et repère iclentitaire, cette violence est également une forme de communication pour l'adolescente qui exprime ainsi divers indicibles, dont sa souffrance, et qui module les orientations de la prise en charge. Les réponses institutionnelles à la violence de cette adolescente, perçue comme extrêmement dangereuse et impulsive, ont la lourde tâche de s'inscrire dans une visée à la fois compréhensive (sur le plan psychopathologique) et répressive-éducative.

Violencia doméstica: sexo y género en las teorías psicosociales sobre la violencia. Hacia otras propuestas de comprensión e intervención = Domestic violence: sex and gender in psychosocial theories about violence. New approach to it comprehension and intervention

En el artículo se presenta la violencia doméstica como violencia política de género masculino. Se señalan el individualismo, la naturalización y el sexismo en el tratamiento de la violencia y la agresión así como de la identidad, por parte de la psicología tradicional, como factores que dificultan las intervenciones en la violencia doméstica. Los prejuicios, valores y estrategias de la sociedad patriarcal continúan influyendo en ellas. Desde la psicología crítica feminista se propone: a) una comprensión de la subjetividad, la diferencia sexo-género y la violencia como construcciones sociales; b) intervenciones menos autoritarias y que no participen en la reproducción del orden social; c) la incorporación de las resistencias desarrolladas; d) un análisis basado en las relaciones de poder y las prácticas discursivas